Patient Assistance Program for Protopic
Astellas Pharma US I
Contact Information
Patient Assistance Program for Protopic
10350 Ormsby Park Place, Suite 500
Louisville, KY 40223
1-(866) 263-8483 (phone)
1-(866) 250-2145 (fax)
Patient Assistance Program for Protopic
10350 Ormsby Park Place, Suite 500
Louisville, KY 40223
1-(866) 263-8483 (phone)
1-(866) 250-2145 (fax)
Physician requests should be directed to:
Patient Assistance Program for Protopic
10350 Ormsby Park Place, Suite 500
Louisville, KY 40223
1-(866) 263-8483 (phone)
Patient Assistance Program for Protopic
10350 Ormsby Park Place, Suite 500
Louisville, KY 40223
1-(866) 263-8483 (phone)
Eligibility:
The Patient Assistance Program for Protopic is designed to assist patients who have no health insurance and limited financial resources. To be eligible for the program, patients must meet residency, diagnosis, income, and insurance criteria. Please contact the Patient Assistance Program for Protopic for assistance in determining patient eligibility. If the patient meets the guidelines, hotline staff will send a pre-filled application to the patient or physician.
The Patient Assistance Program for Protopic is designed to assist patients who have no health insurance and limited financial resources. To be eligible for the program, patients must meet residency, diagnosis, income, and insurance criteria. Please contact the Patient Assistance Program for Protopic for assistance in determining patient eligibility. If the patient meets the guidelines, hotline staff will send a pre-filled application to the patient or physician.
Other Information:
If approved, the patient will receive four shipments during the 12 month enrollment period. If continued therapy is needed beyond 12 months, the patient must reapply to the program.
If approved, the patient will receive four shipments during the 12 month enrollment period. If continued therapy is needed beyond 12 months, the patient must reapply to the program.
Product(s) covered by program:
- Protopic
